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OPTIMIST BOYS' HOME AND RANCH INC. NPI 1871622498


NPI Profile

NPI: 1871622498
Provider Name: OPTIMIST BOYS' HOME AND RANCH, INC.

Other Name: OPTIMIST PALMDALE

Classification:Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
520 W PALMDALE BLVD STE DEF&G
PALMDALE, CA
ZIP 93551
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Phone: (323) 443-3175

OPTIMIST BOYS' HOME AND RANCH, INC. is a community behavioral health in Palmdale, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. OPTIMIST BOYS' HOME AND RANCH, INC. NPI is 1871622498. The provider is registered as an organization entity type.
The provider Other Name Is Optimist Palmdale.

The provider's business location address is:

520 W PALMDALE BLVD STE DEF&G
PALMDALE, CA
ZIP 93551-229
Phone: (323) 443-3175

The provider's authorized official is Silvio John Orlando .
The authorized official title is Executive Director and has the following contact phone number (323) 443-3127.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 12/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100781OTHERCALIFORNIAMEDI-CAL PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/10/2021

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